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FORM NO.AES003 <br /> SER /1 ORDER <br /> _r <br /> s <br /> � � <br /> ASBL��ri-,,4 G1NMENTAC SER�IiCES <br /> „�� " i 00``S.SANTA FE %FNUE"`t �MPTON'CALIFO�NIA'9b 21 a`'(310J`8$b-3400' <br /> EPA4':Gf60282*I7036'; <br /> F t)IXON UNION GIjY GMCO rk.?, FRESNO <br /> f <br /> 00-727=2879' `888 fiO3-8 41` Wd-7 =9043 " ' 866-9 4=693T <br /> Arg, F _ �. ONE�TL,ME PICKUP ®l'ES'or.D NOCOST©MER' <br /> _ RESIDENCE' ❑YESior❑ NO <br /> BILLING"ADDRESS _CONTRACTCUSTOMER ° YES°or:p NO <br /> di <br /> PHONED, CONTACT:y : , _ _ ,CUSTOMER(NUMBER s � = <br /> �LlS�TOMEREP # AMOUNj <br />{ ,1Q$-$ITE,ADDRESs CHECK NUMBER_ " <br /> yK <br /> PO.NUMBER <br /> AlK <br /> CROSS�STREETS _ G/1SHRECEIVED r ` f' �`� <br /> NOTES; COIVIIVIODITI' — <br /> � r <br /> 77 ` <br /> O'ANON-RC I ARDOIiS to TE;.1=1QU1Q(US`E"ijMIXE0 O0 -lE Cb©E <br /> NO PLACARDS REQUIRED* <br /> ION°RCRA HAZARDOUS WASTE,LIQUID(ETHYLENE GLYCOL SOLUTION$)STATE COD <br /> 'NOsPLF1C <br /> 'RD 5 X13 iV1ARKINGS FiEQU1FiED* NEXT�SERVICE DATE - <br /> p Q7 HER. DRUMS IZE7 17 <br /> MANIFESTNOyivum.., NO;OF,GALIONS= _ >i= <br /> x, r <br /> r <br /> DRIVER IRIjCK NO &RI <br /> r p:,USED-OIL AND GASOLINE FILTERS" <br /> 0-;`SA°REC1fCLCNG;} f332iOWW stems`Avenue;iJriioii-Citjj GSA94587 1-510-487=9277 <br /> ❑ ALTERNAfiE FACILITY <br /> DE$1GNATED TSDF: ❑'.ASBURY>ENVIR6NNIENTALSERVICES*254 ScotAvepue•Chico;CA,95928°•CAtQ00827844 <br /> ❑ .ASBUR1f=EtVt/IRONIyIEt?t>ALSERVIS C �Gfl 1(,Lt�G X16(8 W S#h St Chica 'C,A95928 CA D98069410 (8073-9043r <br /> ❑ ASBURY ENVIRONMEfJTALERVICES-F:,ORTUNA•;200 Dinsmore Dr,',F3rturia,CA 95540•CAL930256136•(800733-9043 <br /> ❑ BgKERSFIELt?T NSFER=INC: •1620 E.Brundage Ln:•Bakersfiei&CA-93307•CAL000282598-•(661)377-0308 <br /> ❑ D7K DIXbk+77 Ghevroit. lay+DiXon,=CA--95620-i-CAT080012602•(707)693=6008 <br /> ❑>DEMENNO/KERDOON•2000 N.Alameda Street•Compton;CA 90222+CATO$d013352��(310)537-7100 <br /> ❑ EVERGREEN ENV.•4139 N.'Valentirie Ave. Fresno;CA"93722 CAD9�2446882•(510)795-4400 <br /> ❑ RAMOS-ENVIRONMENTAL 1515 S River Road 1N.Sacramehto,GA5691 •CAD0440©3556�.(9f)371-5747 <br /> ❑ WORLD`fliL-,SAN jOAQUIN LLC•14287 E' nnin Ave.�P Ylfer A 93648•CAL000102751 !(559),498-A I -0240 # <br /> LTERNAE FACIt.I LY €gAgggpw _ <br /> AR � y ar fi ecoc aged -Me ill <br /> s silo Ie �� Y <br /> DOOI TH n lab a r R µe gB oC ansportetikoi actor �g#o fie apphGab[e regulatioosof <br /> TER ILI€FSeReni o1 fr o� = - <br /> -=ERE ESTI A z--t+IWW fHIS WASTE WLTH ANY / <br /> HEI3INAST. ,T}tAT FI 'fAL_HALIDES ARE LESSTHANOiIO PP.M, X- - <br /> D7HA t TE �SZI CONT�LI�N1�1' B .� _ 4r, eUSTsDMEA SIONA� SAS <br /> UERG ',OEFT TIDE ADDITIONAL CHARGES'°FOFi LEGAL <br /> (SpAC� i E 1$OVER 1000 P.P.M.TOTAL HALIDES, OR X V PRINT NAME - <br />